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ESPANOLA SPORTS MEDICINE
NPI 1982777850
Clinic/Center - Rehabilitation in Espanola, NM

Active since November 16, 2006
708 LA JOYA ST, ESPANOLA, NM 87532(505) 753-6550(505) 753-1219 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2023, Mar 28, 2018 (2 updates tracked since 2018).

About Espanola Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESPANOLA SPORTS MEDICINE (NPI 1982777850) is a healthcare organization registered as a rehabilitation in Espanola, New Mexico and active in the NPI registry since November 2006. The organization lists Theresa Lynn Godfrey, Senior Accountant, as its authorized official.

NPPES Registry Identity

NPI1982777850
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameESPANOLA SPORTS MEDICINE, PA
Location Address708 LA JOYA STEspanola, NM 87532-2511
Mailing Address708 La Joya StEspanola, NM 87532-2511 · (505) 753-6550 · Fax (505) 753-1219
Phone(505) 753-6550
Fax(505) 753-1219
Organization SubpartNo
Authorized OfficialTheresa Lynn GodfreySenior Accountant · (402) 334-1919
Enumeration DateNovember 16, 2006
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1982777850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedPhysical TherapistTaxonomy 225100000X · License 6628 (NM)
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 6628 (NM)
708 LA JOYA ST, Espanola, NM 87532
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Other Names 1

Doing Business AsEspanola Sports Medicine

Other Identifiers 1

MedicaidR5803NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA MARIE MOORE
Physical Therapist
708 LA JOYA ST
ESPANOLA, NM 87532
Rio Arriba County (505) 753-6550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Espanola Sports Medicine, PA's NPI number?

The NPI number for Espanola Sports Medicine, PA is 1982777850. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Espanola Sports Medicine.

Where is Espanola Sports Medicine, PA located?

Espanola Sports Medicine, PA is located at 708 La Joya St, Espanola, NM 87532. The listed phone number is (505) 753-6550.

What is Espanola Sports Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

What insurance does Espanola Sports Medicine, PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Espanola Sports Medicine, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Espanola Sports Medicine, PA was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.